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Oregon rates for HCPCS 40818

Excision of mucosa of vestibule of mouth as donor graft

Facilitymedian $708 · 10th–90th $417–$4,7860%20%10th90th$708Professionalmedian $646 · 10th–90th $479–$8910%20%10th90th$646$200.0$1.0K$5.0K$20.0K$100.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $831.76 / $6,606.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $645.65 / $891.25
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $562.34 / $912.01
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $707.95 / $707.95
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $549.54 / $891.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,737.80 / $2,041.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $2,344.23 / $5,128.61